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Life course
Ris
k
Mother and
infant effective
point to
intervene
Child/adolescent
effective point to
intervene
Adult:
screening
may be too
late to reduce
risk
Affected adult:
interventions have
limited effect
PlasticityDetrimental effects of lifestyle
challenges/increasing mismatch
The first1000days of human development
including preconception and pregnancy phases
account for 70% of individual future life.
Future Parents
Prepare
For
Conception
Preconception
Pre-conception
Fetal life
Infancy and childhood
Adolescence
Adult life
Older ages
Chronic Disease
Prevention: a life course
approach
Cumulative incidence
Preventable risk
Modern lifestyleDiets
Microbial patterns
Pollutants
Physical excercise
Inflammationand altered immune
functions
Multi-System EffectTissue Damage, Oxidative Stress and Tissue Repair
Mood, behaviour, development,
degeneration
Cardiovascular response
Gastrointestinal inflammation
Lung development and
fuction
Joints and
tissues
Stress and HPA
responses
Metabolic
responses
Increased NCD Risk
Lifestyle-Caused Inflammation as Driver of NCDs
Health stressorsHormonal factors
Behavioral factors
Chemical stressors
Non-chemical stressors
Nature Reviews Cardiology volume 15, pages 505–522 (2018)
Inflammation + ageing = Inflammageing
Definition of WellnessWellness is the optimal state of healthof individuals and groups. There are two focal concerns: the realisation of the fullest potential of an individual physically, psychologically, socially, spiritually and economically and the fulfillment of one’s role expectations in the family, community, place of worship, workplace and other settings.
WHO – World Health Organization
Wellness as a prescription to protect tissues and resolve chronic inflammation
Wellness ResolutionBalanced responsethrough
Wellness activation
PreventionWellness Treatment
Wellness Prescription
“Wellness educates for healthy lifestyles and promotes prevention.”
Pre-
mature
Death
High-level
Wellness
Treatment Paradigm
Wellness paradigm
Neutral point
(no discernable illness or wellness)
Disability Symptoms Signs Awareness Education Growth
Illness-Wellness Continuum
52%of world
population
5%of world
population
Precision medicine
Precision Medicine
Precision Medicine is a Systems approach that will possibly be able to convey a more precise classification of disease. It’s a measure of how molecular diagnostics allows physicians to unambiguously diagnose the cause of a disease without having to rely on intuition.
Precision Wellness
Comprehensive integration and personalization of physical, meditational, intellectual, musical and other activities to increase self awareness and connection of the inside with the outside.
Precision Medicine
Precision Wellness
Precision Health
It is the Integration of Precision Medicine and Precision Wellness to Improve the Health of an Individual.
Marrying
with
Network Medicine:A System of
Integrated ComplexNetworks
Dance
Nutrition
Touch/Vibration
Music/Art Writing
Meditation/Yoga, Tai ChiBeing in Nature, Spirituality
Community
Aroma
Physical Exercise
Floating Flo,Sauna/Water
Sleep
Network Wellness
The anti-inflammatory
systemic effectof the
wellness network
Healthy food Sport Great Sex
In Italy, we’ve been doing that since quite some time…
Music
Dimension of Health and Wellness
Spiritual
Intellectual
Health and Wellness are a Multi-dimensional Entangled Universe
Emotional-
mental
Social
Physical
Living WellSelf-Care
Empowerment and Support
Early Prevention & Intervention
Acute and Specialist
Rehab
HospitalCare
Future Sustainability of the Healthcare System
Pre-conception
Fetal life
Infancy and childhood
Adolescence
Adult life
Older ages
Cumulative incidence
Preventable risk
First 1000 daysprevention of
chronic diseasescontinues
throughout the lifespan
• Current society urgently needs to establish a comprehensive and integratedsystems approach to tackle the burden of chronic diseases.
• The UN General Assembly unanimoulsly adopted a political declarationmobilizing accelerated effort to address non-communicable diseases (NCDs)on September 27, 2018:
Key Take-aways
"Time to Deliver: Accelerating our response to addressNCDs for the health and well-being of present and future
generations”.
The First 1000 days: A Matrix for our Lifespan• Starting from Preconception to the First 1000 days, and continuing through
adolescence to adulthood (First 8000 days) healthy lifestyles andpersonalized wellness approach may prevent painful and expensive curesand provide the optimal conditions for health and wellbeing throughout thelifespan.
• The concept of Network Wellness is new and must be integrated with theconcept of Network Medicine.
• Precision Wellness represents the most cost-effective model to safeguardpublic health as well as a great ethical business.
Key Take-aways
Precision Wellness is the Vaccine to Chronic Diseases